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Family > Chapter 1 > Flashcards

Chapter 1 Flashcards

1
Q

The most significant publication about family nursing…

A

The Family Nurse: Frameworks for Practice

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2
Q

It is most important for nurses to assess the ______ of illness on the family and the influence of ________ __________ on the ______, _______, and _____ of illness.

A

Impact
Family Interaction
Cause, Course & Cure

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3
Q

Boldest and most ambitious study by the WHO

A

FHN

Family Health Nurse Multinational Study

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4
Q

Providing education on family assessment and interventions facilitates the transition from thinking in an ____________ manner to thinking __________ , thus thinking family.

A

Individualistic

Interactionally

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5
Q

Use of a family assessment framework assists in 2 ways:

A

Organizing massive amount of data

Provide a focus for intervention

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6
Q

T/F Nurses who embrace belief that illness needs to be treated as a family affair can more efficiently lean the knowledge and clinical skills required to conduct family interviews.

A

TRUE

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7
Q

The reciprocal relationship between nurses and families is also a significant component of both: (2)

A

Softening suffering

Enhancing healing

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8
Q

T/F No one assessment model explains all family phenomena.

A

TRUE

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9
Q

The CFAM is a multidimensional framework consisting of three major categories (3)

A

Structural
Developmental
Functional

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10
Q

CFAM is based on a theory foundation involving (4)

A

Systems
Cybernetics
Change
Communication

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11
Q

Indications for family assessment include experiencing emotional, physical or spiritual suffering caused by (2)

A

Family Crisis

Developmental Milestone

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12
Q

Other indications for assessment include (2) when the family defines or identifies…

A

Defines an illness or problem as family issue

Identifies a child or adolescent as having diff.

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13
Q

2 other indications for assessment include when a family member or child are being…

A

Admitted to hospital for psych/MH trtmt (family)

Child admitted to hospital

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14
Q

Another indication for family assessment is when the family is experiencing…

A

Issues that jeopardize family relationships

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15
Q

Contraindications for family assessment include (2)

A

Compromises individuation of a family member

Context permits little or no leverage

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16
Q

T/F Conducting a family assessment absolves nurses from assessing serious risks such as suicide, homicide or serious illness.

A

FALSE

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17
Q

In initially engaging with clients nurses must explicitly present…

A

The rational for family asessment

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18
Q

The identification of a patient’s problems that a nurse can treat

A

Nursing Diagnosis

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19
Q

Wright & Leahy believe a nursing dx consist of:

A

List of family strengths & problems

20
Q

Any treatment based upon clinical judgment that a nurse performs to enhance patient outcomes.

A

Nursing Interventions

21
Q

W&L list of strengths and problem is viewed as…

A

Not the ‘truth’ but the opinion from one persons perspective

22
Q

Wright & Bell believe an intervention usually implies a…

A

One time act w/ clear boundaries, frequently offering or doing something to someone else

23
Q

Interventions are linear. T/F

A

Not linear, circular! Not just the first thing you do but the responses as well

24
Q

Interventions also include an action or response of clinician including:
They occur in:
In order to:
Most importantly, the clinician is _______ accountable.

A
  • including clinician actions, responses
  • occurs in therapeutic relationship
  • to effect client functioning
  • clinician is accountable
25
Q

All nursing interventions are…

A

Interactional

26
Q

The intent of interventions is to..

A

Effect change

27
Q

Effective interventions are those that occur because of the “fit” the -

A

Meshing of intervention and biopsychosocial-spiritual structure of family

28
Q

Interventions begin with…most important in working with families

A

Engagement

29
Q

What is ‘real’ to nurses is a direct consequence of their..

A

Construction of the world - as it is with families

30
Q

In order to change the ‘reality’ of families we must..

A

Assist in developing new ways of interacting within their reality

31
Q

We do this by using interventions that focus on the:

A

Behavioural
Cognitive
Affective domains

32
Q

Behaviours change when _______ change

A

Perceptions

33
Q

In research it is shown that when persons engage in individual, marital & family counselling…

A

There is a significant redux in use of HC services

34
Q

After assessment a nurse must decide if intervention is necessary.
These are all indications in RT illness: (5)

A
  • Member’s illness has impact on other members
  • Child develops problem in context of member’s illness
  • Illness is first diagnosed in a family member
  • Marked deterioration in a member’s condition
  • Chronically ill member returns to community
  • Chronically ill patient dies
35
Q

Other indications for intervention include: (3)

MOI

A

Members contribute to individual symptoms
One member’s improvement leads to deterioration in another
Important milestone missed or delayed

36
Q

Contraindications for intervention include (2)

A
  • All members do not wish to pursue

* Members would prefer to work with another professional

37
Q

Interventions with families include:

5 - Family SPIIM

A
  • Family support
  • Family process maintenance
  • Family integrity promotion
  • Family involvement
  • Family mobilization
38
Q

Other interventions include (CSP)

A
  • Caregiver support
  • Sibling support
  • Parent education
39
Q

Two stages of the therapeutic change process:

A

Creating the circumstances for change

Moving beyond and overcoming problems

40
Q

In creating circumstance for change we (2)

A

Bring family together to engage in new convos

Establish ther relationship

41
Q

In moving beyond & overcoming w (4)

InPP

A

Invite meaningful convo
Notice & distinguish strengths/resources
Pay careful attention to/explore concerns
Put illness & problems in place!

42
Q

The three levels of practice:

A

• Family as context: undergrad focus
• Family as client: family systems nursing
○ grad focus
• Family Therapy: a distinct discipline

43
Q

In addition to the CFAM we have the

A

CFIM

-resilience & strength-based, collaborative non-hierarchical model

44
Q

The CFIM is rooted in notions of:

A

Postmodernism & BoC

45
Q

Nursing practice with families is directed by whether the concept of family is viewed as..

A

Family as context

Family as client

Family (3 decks)

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